Healthcare Provider Details

I. General information

NPI: 1831150622
Provider Name (Legal Business Name): RAMON KO SY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 S KING ST #503
HONOLULU HI
96814-1940
US

IV. Provider business mailing address

1314 S KING ST #503
HONOLULU HI
96814-1940
US

V. Phone/Fax

Practice location:
  • Phone: 808-596-2477
  • Fax: 808-591-1266
Mailing address:
  • Phone: 808-596-2477
  • Fax: 808-591-1266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD1844
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: